GTPAL
gravida, term births, preterm births, abortions, living children
G of GTPAL
the number of pregnancies REGARDLESS of the outcome or number of fetuses
Gravida
pregnancy, gestation
T of GTPAL
the number of TERM infants born at 37 weeks gestation and beyond
P of GTPAL
the number of PRETERM infants born after 20 weeks gestation and
before 37 weeks gestation
A of GTPAL
the number oF pregnancies that ENDED in a SPONTANEOUS or
THERAPEUTIC ABORTION
L of GTPAL
the number of LIVING children
Naegele's Rule
count back 3 months from first day of last menstrual period and add 7 days
APGAR score components
appearance, pulse, grimace, activity, respiration, 5 minutes apgar
Range of Apgar score
from 0 to 10
"normal apgar"
, 5 minute apgar score of 7-10
Apgar score of 4, 5 and 6
are intermediate and not markers of increased risk of neurological dysfunction
as results may be result of physiological, immaturity, maternal medications
Below 7 Apgar NI
nursing interventions may be needed to improve the newborn's cardio-
respiratory status
Apgar score below 7
newborns should be assessed every 5 minutes until score is 7 or above
Pre-eclampsia
When a pregnant woman develops high blood pressure and protein in the urine
after the 20th week of pregnancy.
Severe preeclampsia
patient is hospitalized and magnesium sulfate is given to prevent seizures
What does magnesium sulfate do?
blocks neuro muscular trnsmissions
NI for pre-eclampsia
assess for a respiratory rate of at least 12 bpm, O2 stat 95% or higher, urine
output of @ least 30 l/hr, presence of DTR's (deep tendon reflex)
holds head up
3 months
rolls over
5 to 6 months
holds head steady when sitting
6 months
sits leaning forward
gravida, term births, preterm births, abortions, living children
G of GTPAL
the number of pregnancies REGARDLESS of the outcome or number of fetuses
Gravida
pregnancy, gestation
T of GTPAL
the number of TERM infants born at 37 weeks gestation and beyond
P of GTPAL
the number of PRETERM infants born after 20 weeks gestation and
before 37 weeks gestation
A of GTPAL
the number oF pregnancies that ENDED in a SPONTANEOUS or
THERAPEUTIC ABORTION
L of GTPAL
the number of LIVING children
Naegele's Rule
count back 3 months from first day of last menstrual period and add 7 days
APGAR score components
appearance, pulse, grimace, activity, respiration, 5 minutes apgar
Range of Apgar score
from 0 to 10
"normal apgar"
, 5 minute apgar score of 7-10
Apgar score of 4, 5 and 6
are intermediate and not markers of increased risk of neurological dysfunction
as results may be result of physiological, immaturity, maternal medications
Below 7 Apgar NI
nursing interventions may be needed to improve the newborn's cardio-
respiratory status
Apgar score below 7
newborns should be assessed every 5 minutes until score is 7 or above
Pre-eclampsia
When a pregnant woman develops high blood pressure and protein in the urine
after the 20th week of pregnancy.
Severe preeclampsia
patient is hospitalized and magnesium sulfate is given to prevent seizures
What does magnesium sulfate do?
blocks neuro muscular trnsmissions
NI for pre-eclampsia
assess for a respiratory rate of at least 12 bpm, O2 stat 95% or higher, urine
output of @ least 30 l/hr, presence of DTR's (deep tendon reflex)
holds head up
3 months
rolls over
5 to 6 months
holds head steady when sitting
6 months
sits leaning forward
